# PATRIOT PSYCHIATRIC AND ALLIED HEALTH SERVICES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1770265365
- **Authorized official:** VINCENT UZEGBULEM EZEDIKE (NURSE PRACTITIONER)
- **Authorized official phone:** (410) 916-4825

## Contact information

- **Practice address:** 309 JOPPA CROSSING WAY, JOPPA, MD 21085-3742
- **Practice address phone:** (410) 916-4825
- **Mailing address:** 309 JOPPA CROSSING WAY, JOPPA, MD 21085-3742
- **Mailing address phone:** (410) 916-4825

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 08/02/2023
- **Last updated:** 08/02/2023